与阴道缩手术相比,神经缩会增加便秘吗?
Lauren Simms1, Cynthia Hall2, Katherine Leung2
1Prisma Health, University of South Carolina School of Medicine Greenville, Greenville, SC.
Urogynecology (Philadelphia, Pa.)
|January 8, 2026
概括
在患有骨盆器官脱落的患者中,便秘很常见. 形手术,包括圣体形手术,在术后不会显著恶化便秘症状.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地底疾病 盆地底疾病
- 外科手术的结果
背景情况:
- 便秘是经历骨盆器官脱落的女性常见的抱怨.
- 了解手术干预对肠道功能的影响对于患者护理至关重要.
研究的目的:
- 为了比较腹部神经缩术后的术后便秘率与阴道缩手术.
- 评估形修复对患者便秘症状评估 (PAC-SYM) 评分的影响.
主要方法:
- 一项前性队列研究,涉及接受形落手术的患者.
- 在手术前和手术后6周和6个月使用了患者便秘症状评估 (PAC-SYM) 问卷.
- 通过回归分析,比较腹部 (神圣) 和阴道手术组之间的PAC-SYM分数的变化.
主要成果:
- 在43%的参与者中出现了手术前便秘.
- 在任何一组手术中,在术后6周或6个月后,没有观察到PAC-SYM得分的显著变化.
- 与阴道组相比,腹部组的患者在6周内报告了每周肠道排便的变化比例较高.
结论:
- 骨盆器官脱落手术不会导致便秘症状显著恶化.
- 圣体内似乎对便秘有类似的效果,就像阴道缩手术一样.
- 便秘对于患有骨盆器官脱落的女性来说仍然是一个常见的问题,无论手术方法如何.
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